Commitment to Transparency: Redesign of Daily Safety Huddles Using HRO Principles

Commitment to Transparency: Redesign of Daily Safety Huddles Using HRO Principles

Event Description:

Join this live educational event to learn how a hospital system applied high reliability organization (HRO) principles to improve its daily leadership huddles and reporting of safety events to identify opportunities in real-time. After renewing its focus on leadership engagement in patient safety, the Tier 2 Safety Huddle (T2SH) project was initiated with goals to encourage open and transparent reporting of events, drive high reliable performance, proactively identify and mitigate risk, and aggressively pursue zero harm. A core team of quality, safety, and risk management department members designed and implemented this process and have made enhancements such as adding “Mindful Considerations” and department-based Governance Councils within the past year. HRO theory is based on how organizations working with complex and hazardous systems operate error-free. The five central principles include (1) sensitivity to operations, (2) preoccupation with failure, (3) reluctance to simplify, (4) resilience, and (5) deference to expertise.


Objectives of this event include:

  1. Discuss the five principles of a high reliability organization in health care.
  2. Describe the strategies and tactics of how the Leadership Huddle was redesigned to create a Tier 2 Safety Huddle (T2SH) using high reliability organization principles.
  3. Demonstrate improved patient safety through analysis of the number of event reviews conducted over time.


  • Cynde Gamache, DBA, MA, RN, VP/Chief Nursing Officer Southeast Georgia Health System
  • Ashley Foster, BSN, RN, CPHRM, CPPS, Manager, Risk Management Southeast Georgia Health System
  • Calen Campbell, BSN, RN, CPHQ, CPPS, Manager, Patient Safety Southeast Georgia Health System


Quality/Patient Safety Professionals Risk Management Professionals Clinical Team Members Leadership

Registration Required: Register here.

For More Information: Access the event flyer here.

*After the event, you can request presentation slides and other resources by emailing

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